Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $32.53	Facility		$32.53	$32.53	$32.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $32.53 / $38.71	Professional		$31.35	$32.53	$38.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $35.44 / $35.44	Facility		$32.65	$35.44	$35.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $35.27 / $37.22	Professional		$32.65	$35.27	$37.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $34.29 / $66.87	Facility		$33.31	$34.29	$66.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $109.79 / $329.50	Professional		$33.31	$109.79	$329.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $186.03 / $203.01	Professional		$132.88	$186.03	$203.01
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $39.19	Professional		$32.65	$32.65	$39.19